The World Health Organization's rankingof the world's health systems (2000)
1 France2 Italy 3 San Marino4 Andorra5 Malta6 Singapore7 Spain8 Oman9 Austria10 Japan11 Norway 12 Portugal13 Monaco14 Greece15 Iceland16 Luxembourg17 Netherlands18 United Kingdom19 Ireland20 Switzerland21 Belgium22 Colombia23 Sweden24 Cyprus25 Germany 26 Saudi Arabia27 United Arab Emirates28 Israel29 Morocco30 Canada31 Finland32 Australia33 Chile34 Denmark35 Dominica36 Costa Rica
37 U. S. A
38 Slovenia39 Cuba40 Brunei41 New Zealand42 Bahrain43 Croatia44 Qatar45 Kuwait46 Barbados47 Thailand48 Czech Republic49 Malaysia50 Poland
The World Health Organization has carried out the ﬁrst ever analysis of the world
s health systems. Using ﬁveperformance indicators to measure health systems in 191 member states, it ﬁnds that France provides the bestoverall health care followed among major countries by Italy, Spain, Oman, Austria and Japan.The U. S. health system spends a higher portion of its gross domestic product than any other country butranks 37 out of 191 countries according to its performance, the report ﬁnds. The United Kingdom, whichspends just six percent of gross domestic product (GDP) on health services, ranks 18th . Several smallcountries – San Marino, Andorra, Malta and Singapore are rated close behind second- placed Italy.WHO
s assessment system was based on ﬁve indicators: overall level of population health; health inequalities(or disparities) within the population; overall level of health system responsiveness (a combination of patientsatisfaction and how well the system acts); distribution of responsiveness within the population (how wellpeople of varying economic status ﬁnd that they are served by the health system); and the distribution of thehealth system
s ﬁnancial burden within the population (who pays the costs)."In many countries without a health insurance safety net, many families have to pay more than 100 percent oftheir income for health care when hit with sudden emergencies. In other words, illness forces them into debt."